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DocuSign Envelope ID:37AB50D1-7349-4815-9C2B-6645EC129BB1 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Landmark Surveying, Inc Party/Vendor Contact Person: Doug Yarbrough Contact Phone: <br /> 336-229-6275 Party/Vendor Address: 109 East Harden Street City Graham State: NC Zip: 27253 Department: <br /> DEAPR Amount: $8,235 Purpose: Provide land survey services to produce a recordable plat for the Waker farm <br /> conservation easeament Budget Code(s): 61370035 899950 20006 Vendor#44120 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date December 27,2018 Approved by Board Yes®No❑ Agenda Date: December 18,2018 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSiignedby: <br /> Department Director's Signat rvm,O S111Adi t Date:12/21/2018 <br /> Agreements for emergency sere uraWaivam.not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned""by, <br /> ''� <br /> Office of the Risk Management Of JUSA, rbyyu lib Date:1/4/2019 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Of WI 01. � Date:1/4/2019 <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> [e� <br /> Docu igned by:Office of the County Attor _ Date:1/8/2019 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 12/18 <br /> 8 <br />